猴大脑中动脉闭塞模型不同脑缺血组织脑温变化规律的研究
ifferential evolution patterns in brain temperature in different ischemic tissues in Monkey Middle Cerebral Artery Occlusion Model
目的:急性缺血性脑梗死脑温会增高,特别是缺血半暗带区(IP)。本文研究了猴脑缺血模型不同缺血区的脑温动态变化。方法:4只猴成功制作了大脑中动脉闭塞(MCAO)和再通模型。采用1H MRS的方法测量脑温,比较缺血不同区域的脑温变化。结果:正常猴脑平均脑温为37.16℃。动脉闭塞期,脑缺血组织平均增高1.16℃,不同缺血组织增高幅度不同,IP增高1.72℃,梗死核心增高1.08℃,良性灌注减少区增高0.62℃。再通后,梗死核心区脑温先下降而后增高,IP和良性灌注减少区脑温逐渐下降接近正常。结论:梗死核心和IP具有不同的脑温演变模式,提示脑温可监测脑组织是否存活。
Objectives: Brain temperature was elevated in acute ischemic stroke, especially in ischemic penumbra (IP). We try to investigate the dynamic evolution of brain temperature in different ischemic regions in monkey models. Methods: The middle cerebral artery occlusion (MCAO) and recanalization model was successfully established in 4 monkeys. Brain temperature of different ischemic regions was measured by Proton magnetic resonance spectroscopy (1H MRS), and then the evolution processes of brain temperature were compared among different ischemic regions. Results: The normal (baseline) brain temperature of monkey brain was 37.16℃. At artery occlusion stage, the mean brain temperature of ischemic tissue was 1.16℃higher than that of the baseline, however, this increase is region-dependent with 1.72℃ in IP, 1.08℃ in infarct core and 0.62℃ in oligemia region. After recanalization, the brain temperature of infarct core showed a pattern of an initially decrease accompanied by a following increase. However, the brain temperature of IP and oligemia region showed a monotonously and slowly decreased pattern. Conclusion: The infarct core and IP have different evolution patterns of brain temperature, which suggests that in vivo measurement of brain temperature could be help to identify whether ischemic tissue is survival.
于春水、陈英敏、张云亭、张雪君、孙志华、郭宏、张敬
神经病学、精神病学基础医学生物科学研究方法、生物科学研究技术
缺血性脑梗死脑温缺血半暗带磁共振波谱
Ischemic strokebrain temperatureischemic penumbraMagnetic Resonance Spectroscopy
于春水,陈英敏,张云亭,张雪君,孙志华,郭宏,张敬.猴大脑中动脉闭塞模型不同脑缺血组织脑温变化规律的研究[EB/OL].(2012-06-07)[2025-08-21].http://www.paper.edu.cn/releasepaper/content/201206-121.点此复制
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